Beaird, Leah C

Beaird, Leah C is an individual health care provider with primary practice located at 2141 E Warner Rd Suite 101, Tempe AZ 85284-3493. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Beaird, Leah C can be contacted via phone (480) 969-8714.

Contact Information

Primary practice address
2141 E Warner Rd Suite 101 Tempe AZ 85284-3493
Phone: (480) 969-8714
Fax: (480) 464-0189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 940672 Illinois

Profile Details

NPI number 1346277688
LBN Legal business name Beaird, Leah C
Credentials MS, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 26th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346277688 NPPES
Arizona MEDICAID 104609

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